Monthly Premiums For A ‘Benchmark’ Silver Plan In Federally Run Insurance Marketplaces

This chart lists sample premiums in the 36 states where the federal government is running the online insurance marketplaces. The premiums are for a silver plan, in which the insurer pays about 70 percent of medical costs and the consumer pays about 30 percent up to a maximum annual out-of-pocket cap of $6,350 for an individual and $12,700 for a family. The premiums listed are for the second-lowest cost silver plan, which the federal government is using as a benchmark to determine subsidies for lower- and moderate-income earners. KHN listed sample premiums for four age groups: children, 21 year olds, 27 year olds, 40 year olds and 55 year olds. Actual premiums paid by consumers may be lower, since subsidies are available to most consumers whose income is below four times the federal poverty level, which is $45,960 for an individual or $94,200 for a family of four. Consumers will also have the choice to purchase plans that offer more or less cost sharing. To estimate your families’ premiums including subsidies, go to the KFF Subsidy Calculator.

PLEASE NOTE: 14 states and D.C. are running their own marketplaces and, therefore, are not among the federally-run marketplaces listed below. Links to pricing information for those states can be found here: Premium Watch